Ease of ProSeal laryngeal mask airway insertion in children (after placement) using suction catheter: A comparison with conventional techniques
Journal Title: Indian Journal of Clinical Anaesthesia - Year 2018, Vol 5, Issue 2
Abstract
Objectives The ProSeal Laryngeal Mask Airway PLMA mostly inserted by finger technique and by an introducer tool method Recently a newer Suction Catheter Guided SC insertion technique has been successfully used in children We performed a study in children with aims and objective to compare the ease of PLMA insertion using SC and conventional techniquesMethods 126 American Society of Anaesthesiologists class I and II children in age group of 112 years weighing 1050 kg admitted in our hospital undergoing an elective surgery in under general anaesthesia in supine position were included in our study An appropriate size PLMA was inserted using Suction Catheter introducer tool or digital technique in Groups SC I and D respectively n42 after induction of general anaesthesia Correct placement of the PLMA was confirmed by using appropriate clinical tests Ease of PLMA insertion with hemodynamic response was done by time to insertion number of insertion attempts to achieve effective ventilation and number of cases which required lateral approach of insertionResults In Group SC PLMA device was inserted after a single attempt in 41 976 patients but PLMA insertion was failed in 5 patients in Group I 119 and 6 patients in Group D 143 even after two attempts and the difference was statistically significant p0044 Time taken for successful placement was statistically shorter in the SCguided group SC 2254021 seconds I 314 1757 seconds D 2710129 seconds p value Conclusion Suction Catheter guided ProSeal LMA insertion was an easier faster more successful and a relatively atraumatic technique which also ensures correct placement of the PLMA in the hypopharynx as compared to the routine conventional PLMA insertion techniques with no hemodynamic pressor response to PLMA insertion using any of the three techniques Keywords ProSeal LMA Suction Catheter insertion
Authors and Affiliations
Lalit Gupta, Bhavna Gupta, Poonam Bhadoria, U. C. Verma
Keywords
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- EP ID EP476453
- DOI 10.18231/2394-4994.2018.0040
- Views 66
- Downloads 0
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